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General NPI Number Information
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NPI Number | 1265630545
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Entity Type | Individual
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Provider Name | SUSAN LYNNE HALE ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE MS B-6594
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-1952
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Fax |
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Provider Business Mailing Address
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Address Line | 518 N J ST
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City | TACOMA
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State | WA
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Zip | 98403-2016
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Country | US
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Telephone | 253-404-0637
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP30007534
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License Number State | WA
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